Document Detail


Adolescent pregnancy: maternal weight effects on fetal heaviness: possible route to improved outcomes.
MedLine Citation:
PMID:  1918435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a previous report of a zinc supplementation trial in pregnant adolescents zinc effect varied according to maternal weight (wt) status--normal (90-110% of expected wt), light or heavy, prompting this analysis of effects of wt status and gestational wt gain on fetal heaviness relative to length and gestational age (GA) and other pregnancy outcomes. One-third of adolescents shifted in or out of normal wt by delivery, creating seven outcome groups--light-light, light to normal, normal to light, normal-normal, normal to heavy, heavy to normal, and heavy-heavy. These wt class change groups varied significantly as to intrauterine growth (SGA, low AGA, high AGA, and LGA); by weekly grams gain per cm height (ht), birth wt, infant wt/length ratio, and occurrence of low birth wt (LBW). Infants with above average intrauterine growth had an advantage in: absolute size, length of hospital stay, rates of LBW, fetal demise, rates of low Apgar score, and "other" complications. This association between intrauterine growth and maternal wt class change suggests that promotion of wt gain might lower rates of LBW. Birthwt varied by quartiles of weekly wt change (gm) per cm ht in women grouped by their percent of expected wt: in the lowest quartile (Q1) only one group in seven reached average Bwt (3025 grams); with Q4 gain all groups did. Thus, the parameter wt gain/wk/cm ht deserves study as a tool for monitoring wt status and gain to identify those pregnant adolescents in greatest need for nutritional counseling and to set wt gain goals.
Authors:
F F Cherry; P Rojas; H H Sandstead; L K Johnson; A R Wickremasinghe; E W Ebomoyi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of community health     Volume:  16     ISSN:  0094-5145     ISO Abbreviation:  J Community Health     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-11-21     Completed Date:  1991-11-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  179-95     Citation Subset:  IM    
Affiliation:
Department of Applied Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Apgar Score
Birth Weight / physiology*
Body Height
Body Weight / physiology*
Embryonic and Fetal Development / physiology
Female
Gestational Age
Humans
Infant, Low Birth Weight
Infant, Newborn
Pregnancy
Pregnancy Outcome
Pregnancy in Adolescence / physiology*
Regression Analysis
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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